LABORATORIO SAN RAFAEL 2000 INC
NPI: 1780759696
· ISABELA, PR 00662
· 291U00000X
$138K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,642 |
$15K |
| 2019 |
1,013 |
$9K |
| 2020 |
849 |
$9K |
| 2021 |
1,966 |
$24K |
| 2022 |
2,179 |
$32K |
| 2023 |
2,787 |
$26K |
| 2024 |
2,195 |
$23K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 84443 |
|
1,593 |
1,510 |
$27K |
| 80061 |
|
1,963 |
1,826 |
$26K |
| 85025 |
|
2,633 |
2,434 |
$20K |
| 80053 |
|
1,620 |
1,506 |
$17K |
| 87426 |
|
285 |
264 |
$12K |
| 83036 |
|
843 |
765 |
$8K |
| G2023 |
Specimen collect covid-19 |
286 |
264 |
$7K |
| 81000 |
|
2,045 |
1,881 |
$7K |
| 82306 |
|
133 |
110 |
$4K |
| 82274 |
|
224 |
189 |
$3K |
| 87804 |
|
137 |
72 |
$2K |
| 36415 |
|
301 |
249 |
$1K |
| 82043 |
|
205 |
169 |
$1K |
| 82570 |
|
226 |
189 |
$1K |
| 80048 |
|
80 |
74 |
$680.73 |
| 86328 |
|
23 |
23 |
$437.00 |
| G0328 |
Fecal blood scrn immunoassay |
20 |
13 |
$358.02 |
| 86703 |
|
14 |
14 |
$180.60 |